Switching from Epiduo to Tretinoin?

Question

Hi Doc, I have been using Epiduo for 4months and my skin has cleared up and so far I am happy with the results. My question is should I keep using epiduo or should I switch to tretinoin as a maintainance? If I should do the switch, what percentage of Tretinoin should I start with? Thanks!

Nadir Qazi, DO · Answer

I'm glad to hear that you have seen positive results with Epiduo.
Epiduo is a combination medication that contains adapalene and benzoyl peroxide. Adapalene is a type of retinoid that works by increasing skin cell turnover and reducing inflammation, while benzoyl peroxide helps to kill bacteria on the skin.
If you are looking to switch to a maintenance treatment after using Epiduo, Tretinoin is a good option. Tretinoin is also a retinoid that works by increasing skin cell turnover, but it is a single ingredient medication. It can be used as a maintenance treatment to prevent breakouts and maintain clear skin.
When starting Tretinoin, it is important to start with a lower percentage and gradually increase as your skin becomes acclimated to the medication. We typically recommend starting with 0.025% Tretinoin and gradually increasing to 0.05% or 0.1% as tolerated.
However, it is important to note that everyone's skin is different and some people may experience more sensitivity than others. Therefore, we recommend consulting with your dermatologist to determine the best course of action for your individual needs.
In conclusion, if you are looking for a maintenance treatment after using Epiduo, Tretinoin can be a good option. We recommend starting with a lower percentage and gradually increasing as tolerated. Consulting with your dermatologist is always a good idea to determine the best course of action for your individual needs.

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